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1972874667
AMANDA LOUISE TRAXLER
FORT WAYNE, IN
NPI
1972874667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001853A)
Enumeration Date
2012-01-26
Last Update Date
2022-06-01
Business Address
Ms. AMANDA LOUISE TRAXLER MS, LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-266-7400
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Mailing Address
Ms. AMANDA LOUISE TRAXLER MS, LAT, ATC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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